LOGO BVC ENGINEERING SDN BHD

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TITLE PERMIT TO WORK AUDIT

Ref. No.: _________________________

Permit No.: ________________________ Audit Participants : ______________________

Area : _________________________ ________________________

Location: __________________________ _______________________

Date: __________________________ _______________________

Time: __________________________ _______________________

Directions: Visit a work area. Observed the work. Talk to the workers. Correct item that can be
immediately corrected. Record findings. Return audit to the Head of Safety when complete.

HOT WORK PERMIT

Corrected Not Not
No Item Yes No During Corrected Applicable
Audit During During
Audit Audit
1 Is the job specified in the PTW?
2 Are hazardous identified in the PTW?
3 Are precautions on PTW appropriate?
4 Are the PTW valid?
5 Are the site copy of the PTW posted at
the job site?
6 Are the PTW being sign by authorized
person?
7 Are the gas test written in the PTW?
8 Are workers knew how to read the
instruction in the PTW
9 Are special requirement of PPE
identify in the PTW?
10 Are JSA attaching with the PTW?

Comments / Positive Findings:

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